F

Piedmont Walton Hospital, Inc

2151 W Spring Street · Monroe, GA 30655

🤖AI Overview

⚠️ This hospital charges 6.1x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$57.5M
Medicare Payments
$9.4M
Discharges
968
Avg Length of Stay
4.1 days
Markup Ratio
6.1x
Risk Score
2.25

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Piedmont Walton Hospital, Inc charges an average of $59,452 per discharge, but Medicare only pays $9,762 — a markup of 6.1x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
6.1x
State Avg
6.0x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$59,452
State Avg
$84,165
National Avg
$69,838
Avg Length of Stay
This Hospital
4.1 days
State Avg
5.7 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
12.2%
65–74
29.5%
75–84
36.8%
85+
21.5%

Gender

55.8%
Female
44.2%
Male

Dual Eligibility

24.7%
Dual Eligible
75.3%
Non-Dual

Race & Ethnicity

White
84.9%
Black
11.6%
Hispanic
2.2%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
55.9%
Chronic Kidney Disease
53.2%
Diabetes
51.6%
Heart Failure
50.9%
Ischemic Heart Disease
47.7%
Anxiety
38.9%
Mood Disorders
38.2%
Atrial Fibrillation
37.8%
COPD
36.5%
Depression
36.0%
Stroke/TIA
26.9%
Alzheimer's/Dementia
21.9%
Tobacco Use
20.9%
Cancer
18.3%
Substance Use
15.1%
Osteoporosis
14.9%
Asthma
13.3%
Bipolar Disorder
8.1%
Parkinson's
3.9%
Schizophrenia/Psychosis
3.5%
Personality Disorders
1.7%
ADHD/Conduct Disorders
1.4%
PTSD
1.2%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.